The Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law on April 16, 2015 and is driving the transition in healthcare from a volume to value-based care model. This is a significant change in how Medicare compensates clinicians as it now ties reimbursements to the value and quality of patient care they provide. Each year since its implementation, MIPS has raised the bar and widened its scope for compliance. In 2019 alone the list of “eligible clinicians” required to provide MIPS reporting grew by 120%. The minimum score to avoid a penalty doubled and the penalty itself grew by nearly 40%!